HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?
Correct Answer: B
Rationale: The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain. Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system.
Question 2 of 5
An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert and requests that no heroic measures be implemented if her breathing stops.What actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should first discuss with the client her meaning of heroic measures. This will help the nurse to understand the client's wishes and preferences for her care.
Question 3 of 5
The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago.Which intervention should the nurse implement next?
Correct Answer: B
Rationale: The nurse should reassess the client's pain level and determine if additional interventions are needed to manage the pain.
Question 4 of 5
The nurse is caring for a patient one week post-surgery.Which finding should the nurse expect to see if the surgical incision is healing properly?
Correct Answer: D
Rationale: A well-approximated incision means that the edges of the wound are close together and aligned properly, which is a sign that the surgical incision is healing properly.
Question 5 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: A
Rationale: Charting by exception means that the nurse only documents findings that deviate from the established norm or expected outcome. In this case, the nurse should document the assessment that is not within normal limits, which is 'Basilar lung sounds that are diminished in the left lung.'